Mary Kilianski, CNM | |
100 Medical Center Dr, Springfield, OH 45504-2687 | |
(937) 523-1000 | |
(937) 399-7355 |
Full Name | Mary Kilianski |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 100 Medical Center Dr, Springfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598203531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | R212139 (Maryland) | Secondary |
367A00000X | Advanced Practice Midwife | APRN.CNM.0019508 (Ohio) | Primary |
Entity Name | Shenandoah Valley Medical System, Inc |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1083617823 PECOS PAC ID: 9739093097 Enrollment ID: O20031119000556 |
Mailing Address | Practice Location Address |
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Mary Kilianski, CNM 100 Medical Center Dr, Springfield, OH 45504-2687 Ph: (937) 523-1000 | Mary Kilianski, CNM 100 Medical Center Dr, Springfield, OH 45504-2687 Ph: (937) 523-1000 |
Mrs. Bethany Leigh Wayt, RNC, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1108 Vester Ave, Springfield, OH 45503 Phone: 937-399-7100 | |
Mica Ayana Alexander, CNM Advanced Practice Midwife Medicare: May Accept Medicare Assignments Practice Location: 100 Medical Center Dr, Springfield, OH 45504 Phone: 937-523-1000 Fax: 937-399-7355 | |
Anne Erickson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 30 W Mccreight Ave, Suite 209, Springfield, OH 45504 Phone: 937-399-6922 |